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Regina Dazzo Fogel, R.N. Valid NPI

Individual provider · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Staten Island, NY

NPI
1801160817
Type
Individual (Type 1)
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered Nurse (Registered Nurse)
Specialty group
Nursing Service Providers
Taxonomy code
163WP0807X
License number
230967-1 (NY)
Sex
Female
Sole proprietor
Yes
Enumerated
2012-03-08
Last updated
2012-03-08
Practice location
6581 Hylan Blvd
Staten Island, NY 10309-3830
(718) 984-1526

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